AVANTARA NORTH (Rapid City, SD) has a 3 out of 5 overall rating, with 3-star health inspection, staffing, and quality ratings. Reported nurse staffing is 2.95 hours per resident per day versus the 4.1-hour federal benchmark, and the facility had $33,768 in fines in the last 24 months plus a recent federal penalty.
Last inspection: February 20, 2026Penalties, last 24 months: $33,768recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9547.
Staffing detail
Registered nurses
0.99
Licensed practical nurses
0.18
Nurse aides
1.78
Weekend nursing
2.46
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 10%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
7.9%9.8%Worsening
Residents with a fall causing major injury
1.7%3%Worsening
Residents with pressure ulcers (bedsores)
5.2%3.5%Improving
Residents with a urinary tract infection
1.9%7.8%Worsening
Residents who lost too much weight
0%13.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
34%32.7%Improving
Residents whose ability to walk got worse
50.9%35.8%Improving
Long-stay residents on antianxiety or sleep medication
13%13.3%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.8%6.2%Worsening
Residents with new or worsening incontinence
27.3%15.9%Improving
Residents with depressive symptoms
0%3.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—95.2%—
Long-stay residents given the pneumonia vaccine
98.3%95.5%Worsening
Short-stay residents given the seasonal flu vaccine
—86.1%—
Short-stay residents given the pneumonia vaccine
80.6%70.8%Worsening
What the inspectors found
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $27,600 was recorded.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $6,168 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $33,768 in total fines.
Federal fine
Aug 7, 2025
$27,600
Federal fine
Oct 7, 2024
$6,168
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
Occupancy
66.6 residents on an average day (98% of 68 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.